Metronidazole induced encephalopathy: case report and discussion on the differential diagnoses, in particular, Wernicke's encephalopathy
We present a case of metronidazole induced encephalopathy in a 59-year-old man with a history of Whipple's procedure for pancreatic neuroendocrine tumour. The characteristic magnetic resonance imaging features of metronidazole induced encephalopathy and its main differential diagnosis, Wernicke's encephalopathy, are discussed. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - September 30, 2019 Category: Radiology Source Type: research

Aortoenteric fistula secondary to an Inflammatory Abdominal Aortic Aneurysm
Primary aortoenteric fistulas are rare, with the annual incidence of such fistulas estimated to be 0.007 per million. The most common predisposing conditions for primary aortoenteric fistulas are atherosclerotic abdominal aortic aneurysms or penetrating atherosclerotic ulcers. We illustrate a rare case of an inflammatory aortic aneurysm causing a primary aortic fistula, with a direct fistulous jet from the aorta to the bowel with resultant catastrophic bleeding. In contrast to atherosclerotic aneurysms, most inflammatory aneurysms are symptomatic and show dense perianeurysmal fibrosis and periaortic wall thickening. A dire...
Source: Journal of Radiology Case Reports - September 20, 2019 Category: Radiology Source Type: research

A unique variant of a right persistent hypoglossal artery arising from the common carotid artery with complex cardiovascular anomalies in a female neonatal patient
We describe a unique case of a female infant patient with this anomaly that has an unusually low origin from the distal common carotid artery just below the bifurcation at the level of roughly C5 and supplies the entire vertebrobasilar system. Additional cardiovascular anatomical variations were present: Tetralogy of Fallot and a right-sided aortic arch with mirror image branching. These singular variations are rare in the general population, but even rarer when combined. Awareness of these unusual vascular variants is clinically significant, as they may predispose the patients to early ischemic injury, hemorrhage, aneurys...
Source: Journal of Radiology Case Reports - September 20, 2019 Category: Radiology Source Type: research

Intracranial calcifications on CT: an updated review
Intracranial calcifications are frequently encountered in non-contrast computed tomography scan in both adult and pediatric age groups. They refer to calcifications within the brain parenchyma or vasculature and can be classified into several major categories: physiologic/age-related, dystrophic, congenital disorders/phakomatoses, infectious, vascular, neoplastic, metabolic/endocrine, inflammatory and toxic diseases. In this updated review, we present a wide spectrum of intracranial calcifications from both pediatric and adult populations focusing on their pattern, size and location. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 31, 2019 Category: Radiology Source Type: research

Pigmented villonodular synovitis of the temporomandibular joint: case report and the literature review for postoperative radiotherapy
Pigmented villonodular synovitis (PVNS) is a benign proliferative disorder of the synovium that usually involves joints, tendon sheaths, and bursae. It presents rarely, however, in the temporomandibular joints (TMJs). This paper reports a 59-year-old female patient with PVNS of the TMJ and its clinico-pathologic features are discussed. The patient was treated with surgery and postoperative radiotherapy (PORT). Follow-up was conducted, and there were no recurrences, metastases, skin changes or joint stiffness noted. The main treatment of PVNS is surgical resection. However, postoperative radiotherapy is important for local ...
Source: Journal of Radiology Case Reports - August 9, 2019 Category: Radiology Source Type: research

Carotid body tumor: a case report and literature review
We report a case of carotid body tumor in a 42-year-old female, who presented with painless, pulsatile, gradually progressive lateral neck swelling. The diagnosis is suspected on the basis of history, clinical and radiological examination findings and a successful surgical excision of the tumor is performed. Histopathological examination confirms the diagnosis of carotid body tumor. We also present brief literature about carotid body tumors in terms of its clinical and imaging presentation, evaluation, and management. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 9, 2019 Category: Radiology Source Type: research

Multidisciplinary approach in the management of uterine intravenous leiomyomatosis with intracardiac extension: case report and review of literature
We report the case of a massive pelvic recurrence of uterine leiomyomatosis with intracardiac extension and pulmonary embolism, analyzing management and surgical outcomes, highlighting the role of interventional radiology during the therapeutic pathway. Nonetheless, there are currently very few data available concerning the use of interventional radiology procedures in the therapeutic strategy of uterine intravenous leiomyomatosis with intracardiac extension. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 1, 2019 Category: Radiology Source Type: research

An intramedullary " flame " recognized as being an intramedullary spinal cord metastasis from esophageal cancer
We report the first case of intramedullary metastasis affecting the thoracic spinal cord from esophageal squamous cell carcinoma in a 35-year-old patient. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 27, 2019 Category: Radiology Source Type: research

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review
This article summarizes the imaging approach to pediatric patients with acute abdominal pathologies presenting to the emergency department, and how imaging is instrumental in guiding diagnosis and treatment, with emphasis on radiation safety, in the context of providing typical imaging findings of each pathology in this pictorial review. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 26, 2019 Category: Radiology Source Type: research

A Case of Hoarseness with Acute Back Pain - Cardiovocal Syndrome Revisited
A previously well 81-year-old Chinese male presented with hoarseness and low back pain for one month. Chest radiography at presentation revealed widening of the mediastinal silhouette. Nasopharyngoscopy detected left vocal cord paralysis. CT aortogram revealed a large saccular aortic arch aneurysm with a dissection flap extending distally down to the aortic bifurcation. The combination of clinical and imaging findings was consistent with cardiovocal syndrome. In view of good premorbid function, surgical repair was offered, and the patient underwent surgical repair and recovered well with no further back pain. A review of c...
Source: Journal of Radiology Case Reports - July 26, 2019 Category: Radiology Source Type: research

Adrenal Adenoma-Hemangioma Collision Tumor: Description of Two Cases
We report two cases of a 63-year-old male and a 76-year-old female patient with a presumable exceedingly rare adrenal hemangioma-adenoma collision tumor. To our knowledge, only two reports of a collision tumor comprising an adrenal hemangioma and an adenoma have been described in literature. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 27, 2019 Category: Radiology Source Type: research

Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report
We present a case of one such uncommon side effect, influenza vaccine-related subacromial/subdeltoid bursitis. A 72-year-old female presented with severe shoulder pain following influenza vaccination. The pain persisted for up to two months despite conservative measures, and MRI demonstrated moderate subacromial/subdeltoid bursitis. Vaccine-related shoulder dysfunction includes a range of pathology, from osteonecrosis to bursitis, which will be reviewed in this report. Recognition of infrequent vaccine-related musculoskeletal pathology is important to prevent delay of diagnosis. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 20, 2019 Category: Radiology Source Type: research

Subperiosteal Hematoma of the Orbit: A Variety of Presentations
We present a series of three cases, to illustrate typical and atypical radiologic findings of subperiosteal hematoma of the orbit, both traumatic and nontraumatic. Review of the pertinent radiologic literature and its relation to the cases presented here is also provided. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 20, 2019 Category: Radiology Source Type: research

Anastomosing hemangioma of liver
Anastomosing hemangiomas are a rare subtype of benign vascular hemangioma which most commonly arise in the genitourinary tract and retroperitoneum. In only a small number of reports has this entity been shown originating within the liver parenchyma. Despite their benign behavior, on contrast-enhanced computer tomography and magnetic resonance imaging studies anastomosing hemangiomas can demonstrate enhancement characteristics similar to primary and metastatic liver lesions. This case report highlights the imaging features of this entity and provides a brief review of the limited literature that exists on this rare hepatic ...
Source: Journal of Radiology Case Reports - June 20, 2019 Category: Radiology Source Type: research

Methadone-induced Toxic Encephalopathy In Pediatric Patients: Two Case Reports
Toxic encephalopathy is a wide spectrum of encephalopathy secondary to insult from toxic substances, with variable clinical presentations from minor cognitive impairment to severe neurological dysfunction and death. Methadone-induced toxic encephalopathy is an extremely rare form of toxic encephalopathy which typically demonstrates abnormal imaging findings in the dentate nuclei or cerebellum. This is a report of methadone-induced toxic encephalopathy in two toddlers secondary to accidental ingestion. They were brought in unconscious to the emergency department of a tertiary hospital and were found to be cyanotic and pulse...
Source: Journal of Radiology Case Reports - May 25, 2019 Category: Radiology Source Type: research

Klippel-Feil Syndrome with Sprengel Deformity
Coexistence of Klippel-Feil syndrome with Sprengel deformity and omovertebral bone is a rare complex bone abnormality with unknown incidence and etiology. Herein, we report a case of a 6-year-old girl with coexistence of these congenital abnormalities evaluated by three-dimensional computed tomography. We also make a brief review and discuss in details the role of this imaging modality in the evaluation of such complex cases. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - May 21, 2019 Category: Radiology Source Type: research

Epiploic Appendagitis in a Femoral Hernia
We present a case of a 65-year-old patient who underwent clinical work-up for a tender left groin lump. When undergoing a CT scan for investigating possible lymphadenopathy, she was found to have epiploic appendagitis contained within an incarcerated left sided femoral hernia. In this case report, we review the relevant anatomy, aetiology, patient demographics, as well as clinical and imaging findings and management. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - May 21, 2019 Category: Radiology Source Type: research

Leiomyosarcoma of the Inferior Vena Cava with Hepatic and Pulmonary Metastases: Case Report
We present a case of a 46-year-old female with no significant past medical history presented to the emergency department with mild abdominal pain and distention, early satiety, and weight loss for three weeks, found to have unresectable metastatic leiomyosarcoma of the inferior vena cava. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - May 21, 2019 Category: Radiology Source Type: research

Intra-prosthetic dislocation of dual mobility hip prosthesis: an original and unusual complication
A 78-year-old female presented with dislocation of a dual mobility hip prosthesis. On standard radiographs after closed reduction, the hip prosthesis appeared to be properly reduced, but clinically the hip was unstable. A Computed Tomography showed a round foreign body, that was in fact a dislocation of the intra-prosthetic implant. This was confirmed intra-operatively during revision surgery. Intra-prosthetic dislocation is a specific complication of dual mobility system. Classically, it's a late complication, linked to the wear of retention area of the polyethylene insert. In this case report we describe an unusual reaso...
Source: Journal of Radiology Case Reports - May 21, 2019 Category: Radiology Source Type: research

A Multimodal and Pathological Analysis of a Renal Cell Carcinoma Metastasis to the Thyroid Gland 11 Years Post Nephrectomy
We present the case of a 66-year-old male with a past medical history of renal cell carcinoma status post nephrectomy 11 years prior who demonstrated incidental thyroid abnormalities on positron emission tomography/computed tomography and ultrasound later confirmed as a metastasis of renal cell carcinoma. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - April 12, 2019 Category: Radiology Source Type: research

Mycotic pseudoaneurysm of the aortic isthmus secondary to salmonella infection causing a diagnostic dilemma
We report a case of a mycotic pseudoaneurysm affecting the aortic isthmus of the thoracic aorta which is an extremely rare infection. To our knowledge no case report of mycotic pseudoaneurysm of the aortic isthmus secondary to salmonella infection has thus far been described. The specific case we present is also unique in that it posed a diagnostic imaging dilemma where the initial imaging revealed a periaortic mass which could not be accurately characterized and only on subsequent imaging reveal itself to be a thrombosed mycotic pseudoaneurysm. We hope that our case report highlights to the medical community the high degr...
Source: Journal of Radiology Case Reports - March 29, 2019 Category: Radiology Source Type: research

Difficult diagnosis of Angiomatoid Fibrous Histiocytoma of the leg mimicking a benign condition
Angiomatoid fibrous histiocytoma is a rarely metastasizing soft-tissue tumor of low-grade malignancy. Here we report a case of angiomatoid fibrous histiocytoma located in the leg of a 15-year-old female. This case is of particular interest due to its radiological features that led to raise two questions concerning the nature of the disease (is it reactive or tumoral?) and its site of origin (within soft tissues or the tibial periosteum?). Here we describe ultrasound, magnetic resonance imaging, computed tomography scan and positron emission tomography findings that helped answer these questions, understand the real nature ...
Source: Journal of Radiology Case Reports - March 29, 2019 Category: Radiology Source Type: research

Non-Enhanced CT Mimicking Contrast Enhanced CT - A Case Report on Polycythemia
Diffuse hyperdense cerebral vasculature is sometimes encountered on non-enhanced computed tomography, and polycythemia is one of the conditions which appears the same. The current case report is of a case of 37-year-old female patient arrived with a complaint of feeling severe headache for the past 3 days which was insidious in onset, diffuse in nature and it did not respond to any medication. NECT brain study showed the hyperdense circle of Willis and cerebral venous sinuses. Contrast was not administered for computed tomography study of the brain. On blood investigations, the patient had raised hematocrit level (74%). Th...
Source: Journal of Radiology Case Reports - March 29, 2019 Category: Radiology Source Type: research

Peritoneal Carcinomatosis Arising from Primary Anorectal Melanoma
We present a case report of a 75 year old female with a history of transanal excision of primary anorectal melanoma who presented with increasing abdominal pain and distention. Computed tomography scan of the abdomen and pelvis showed metastatic disease to the peritoneum with findings of extensive peritoneal carcinomatosis, demonstrating the aggressive nature of anorectal melanoma. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - March 29, 2019 Category: Radiology Source Type: research

Carotid Mycotic Aneurysm associated with Persistent Primitive Hypoglossal Artery. Case Report and Literature Review
In this report, we highlight the imaging characteristics and treatment options for this rare mycotic aneurysm together with a literature review. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - March 5, 2019 Category: Radiology Source Type: research

Vein of Galen Malformation, a cause of Intracranial Calcification: Case Report and Review of Literature
We present the case of a 2-year-old boy with vein of Galen malformation, a rare cause of intracranial calcifications with a review of literature. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 27, 2019 Category: Radiology Source Type: research

Unicentric or Multicentric Castleman disease? A case report of a pelvic intraperitoneal mass in a middle aged woman
We present the case of an unusual pelvic intraperitoneal manifestation of Castleman Disease in a 52-year-old caucasian woman who showed clinical, radiological, histological and laboratory findings common to both Unicentric and Multicentric Castleman Disease. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 27, 2019 Category: Radiology Source Type: research

Spontaneous rupture of the inferior vena cava (IVC) in the setting of IVC filter thrombosis: case report
We report a case of a spontaneous IVC rupture associated with IVC filter thrombosis in a patient presenting with severe atraumatic back pain. Computed tomography (CT) identified a retroperitoneal hematoma and suggested IVC thrombosis. Magnetic resonance (MR) imaging confirmed the presence of IVC filter thrombosis and demonstrated a large defect in the infrarenal IVC, with the vessel lumen in free communication with the adjacent hematoma. The patient was managed conservatively and discharged in stable condition. MR imaging played an important role in characterizing the CT findings, which were unclear. (Source: Journal of Ra...
Source: Journal of Radiology Case Reports - February 27, 2019 Category: Radiology Source Type: research

Spigelian Hernia Including the Urinary Bladder: A Rare Potential Cause of Surgical Complication
Spigelian hernia is a rare type of anterior abdominal wall hernia. While it is itself very rare, seeing urinary bladder in this hernia is even rarer. Here, in this case, we specifically illustrate a rare case of Spigelian hernia including the urinary bladder, diagnosed with computerized tomography. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 27, 2019 Category: Radiology Source Type: research

Wisdom Tooth's Revenge: Retropharyngeal Abscess and Mediastinitis after Molar Tooth Extraction
Retropharyngeal abscess is potentially associated with high morbidity and mortality as a result of its direct anatomical connection with the mediastinum. Therefore, knowledge of the relevant anatomy is essential for recognizing the presence and extent of disease in a timely manner. In this case report, we aim to review the pertinent anatomy and patterns of spread of infection from a full blown deep neck space infection to result in mediastinitis and empyema. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 26, 2019 Category: Radiology Source Type: research

Trans-Radial Embolization of Bleeding Renal Angiomyolipoma in Pregnant 30-Year-Old Female - A Case Report
We report the use of trans-radial arterial access to embolize a large bleeding angiomyolipoma in a 30-year-old pregnant patient presenting in the first trimester. Trans-radial approach was chosen to minimize the effects of radiation on the fetus. Subsequent postprocedural pregnancy course was uneventful with stability of the angiomyolipoma and no further hemorrhage. This case highlights the benefits of trans-radial embolotherapy in gravid patients to reduce the risk of radiation exposure to the fetus. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 22, 2019 Category: Radiology Source Type: research

Complementary role of cardiac computed tomography angiography in the diagnosis of prosthetic aortic valve endocarditis and septic coronary embolism - a case report
A 73-year old man presented with a posterolateral ST-elevated myocardial infarction 9 months after biological aortic valve replacement for aortic valve stenosis. Invasive coronary angiography showed a filling defect across the left main coronary artery bifurcation extending into the left anterior descending artery and the ramus circumflex. Transthoracic echocardiography revealed a thickened prosthesis leaflet with signs of slight stenosis. Cardiac computed tomography angiography showed a mass on the left coronary cusp of the valve prosthesis, suggestive for vegetation or thrombus. The scan also revealed central luminal fil...
Source: Journal of Radiology Case Reports - February 22, 2019 Category: Radiology Source Type: research

Primary Angiosarcoma Of the Breast: A Case Report
We report a case of a 32-year-old female with primary angiosarcoma of the breast presenting with non-specific imaging features. It was initially interpreted as a capillary cavernous hemangioma at histopathology following an ultrasound-guided biopsy. This eventually turned out to be angiosarcoma after a second histopathology opinion was sought in light of the radiology-pathology discordance. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 22, 2019 Category: Radiology Source Type: research

Unusual Presentation of Fibrous Dysplasia in an Elderly Patient
Fibrous Dysplasia is a benign fibro-osseous lesion occurring throughout the skeletal system with a predilection for craniofacial bones, long bones, and ribs. Fibrous dysplasia develops during bone formation and growth with a variable natural evolution. It is considered a genetic nonheritable disease resulting from missense mutations that occur postzygotically in the GNAS1 gene. This mutation leads to a focal congenital failure of proper bone formation and arrest at the woven bone stage. In turn, this leads to a decreased mechanical strength, causing bone pain, pathological fractures, and skeletal deformities. Besides clini...
Source: Journal of Radiology Case Reports - February 22, 2019 Category: Radiology Source Type: research

Honoring our helpers
This special issue of the Journal of Radiology Case Reports honors the reviewers who donated their time and expertise throughout the year 2018 to the high quality and success of this journal. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - January 31, 2019 Category: Radiology Source Type: research

Caseous Calcification of the Mitral Annulus
We present the case of a 62-year-old patient with an intra-cardiac mass diagnosed by echocardiography. Imaging modalities to achieve a correct diagnosis and avoid unnecessary surgical intervention are discussed. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - January 31, 2019 Category: Radiology Source Type: research

Delayed Diagnosis in a Case of Smoldering Sporotrichal Monoarthropathy
We present the clinical, imaging, and laboratory findings of a 41-year-old male with culture proven Sporothrix schenckii osteoarticular infection of the right knee. Fungal arthropathies are a rare and indolent form of septic arthritis, which often leads to a delayed diagnosis. Early diagnosis and treatment of fungal arthropathies is critical to preventing permanent functional disability. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - January 23, 2019 Category: Radiology Source Type: research

Fascioliasis: A challenging differential diagnosis for radiologists
We report a case of a 39 year old male who presented with nausea and right upper quadrant pain. Marked eosinophilia and a hypoechoic liver lesion on ultrasound were identified. The differential diagnosis included neoplasms, infectious diseases and hepatic abscess. Indirect hemagglutination test using purified adult Fasciola hepatica f1Ag confirmed serologic diagnosis of fascioliasis. Radiologists should keep in mind the importance of correlating imaging, clinical and laboratory findings in order to reach the correct diagnosis. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - January 23, 2019 Category: Radiology Source Type: research

Fibrocartilaginous Embolization - a Rare Cause of Spinal Cord Infarction: Case Report
A case of fibrocartilaginous embolization in 24-year-old female as a rare cause of spinal cord infarction is presented. It manifests as infarction syndrome with rapid progression of clinical signs - acute onset of quadriparesis and respiratory insufficiency. Among imaging studies MRI is the most accurate as it readily capable of detection of myelopathy and acute intervertebral disc lesion. Other laboratory tests and imaging modalities are usually normal. The final diagnosis is made by exclusion. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - December 31, 2018 Category: Radiology Source Type: research

Primary Breast Liposarcoma
Liposarcoma of breast is a rare malignant breast tumor. It accounts for 0.3% of the breast sarcomas. Subtypes of breast sarcomas are angiosarcoma (most common), liposarcoma, malignant fibrous histiocytoma, leiomyosarcoma and fibrosarcoma. We hereby report a case of liposarcoma in a 55 year old female emphasizing the imaging features that can aid in differentiating it from benign fat -containing masses, carcinomas and other sarcomas. This is important as treatment of these varying conditions differ widely. Histologically, liposarcoma may be well differentiated, mixed or dedifferentiated (high grade). The risk of metastasis ...
Source: Journal of Radiology Case Reports - December 27, 2018 Category: Radiology Source Type: research

Intraosseous " Lipoma " of the Calcaneus Developing in an Intraosseous Ganglion Cyst
In this report, an 18-year-old man presented with radiologic evidence of a simple bone cyst of the calcaneus. Over a 4-year period, the patient was followed with interval magnetic resonance imaging. The cyst demonstrated progressive development of peripheral intralesional fat with final magnetic resonance imaging features characteristic of an intraosseous lipoma. To our knowledge, this is the first longitudinal study that shows gradual peripheral fat deposition within an intraosseous ganglion cyst, illustrating a potential cause of intraosseous lipomas of the calcaneus. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - December 27, 2018 Category: Radiology Source Type: research

Persistent primitive trigeminal artery associated with a cavernous carotid aneurysm. Case report and literature review.
We present a rare case of a patient with a persistent primitive trigeminal artery and a concomitant cavernous carotid aneurysm together with a literature review. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - November 30, 2018 Category: Radiology Source Type: research

Bear Paw Sign: Xanthogranulomatous Pyelonephritis
Xanthogranulomatous pyelonephritis is a rare form of chronic pyelonephritis in which the involved areas of the kidneys are destroyed and replaced by foam cells. It usually occurs in immunocompromised middle-aged females with ureteral obstruction or chronic urinary tract infection induced by the formation of renal stones. We herein report the case of a 44-year-old woman, with a history of left kidney staghorn calculi and recurrent urinary tract infections. Abdominal computed tomography showed the'bear paw'sign, typical appearance of XGP and patient underwent a nephrectomy with uneventful post-operative course. (Source: Jour...
Source: Journal of Radiology Case Reports - November 27, 2018 Category: Radiology Source Type: research

Melorheostosis of The Leg: A Case Report
We report the case of a 28-year-old male who presented to an orthopedic clinic with a chronic history of right leg pain. Radiological evaluation using X-ray, computed tomography, and magnetic resonance imaging showed features consistent with that of melorheostosis. Recognition of this entity by clinicians can avoid unnecessary investigations and biopsy. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - November 27, 2018 Category: Radiology Source Type: research

Extradural cervical spinal meningioma mimicking malignancy
We report an invasive extradural meningioma in the cervical spine with multi-segmental involvement, extension through the neural foramina and encasement of the subjacent vertebral artery, mimicking malignancies such as lymphoma and sarcoma. Although rare, meningiomas may demonstrate extradural multi-segmental growth and should be considered in the differential diagnosis of such lesions. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - October 31, 2018 Category: Radiology Source Type: research

Annular Pancreas in an Adult Presenting with Acute Pancreatitis
Annular pancreas is a rare congenital condition in which tissue from the head of the pancreas partially or completely surrounds the second part of the duodenum.   This condition has a variable clinical presentation in adults and children.  Radiologists should be aware of the imaging findings in adults as an annular pancreas can be overlooked or misdiagnosed in this patient population.  In this case report we describe an adult patient with pancreatitis as sociated with the computed tomography findings of a complete annular pancreas and discuss additional imaging techniques and findings for differential diagno...
Source: Journal of Radiology Case Reports - October 28, 2018 Category: Radiology Source Type: research

Abdominal CT Scan Findings of Decompression Sickness: A Case Report
This case report depicts the radiologic findings of a 51-year-old male presenting with Decompression Sickness. Decompression Sickness is diagnosed clinically, therefore radiologic imaging of this disease entity is limited. Our patient's history includes a scuba dive to depth of 110 feet with a descending time of 24 minutes and an ascending time of 8 minutes. The patient subsequently presented to the Emergency Room with symptoms of shortness of breath and abdominal pain. The abdominal pain prompted physicians to explore further, and hence computed tomography (CT) imaging of the abdomen and pelvis was performed. This case re...
Source: Journal of Radiology Case Reports - October 28, 2018 Category: Radiology Source Type: research

Ruptured Berry Aneurysm as the initial presentation of Polycystic Kidney Disease: A case report and review of literature
Intra-cranial saccular aneurysms, also known as Berry aneurysms, have a well-known association with autosomal dominant polycystic kidney disease (ADPKD). Aneurysmal rupture can be the initial presentation of the disease. ADPKD has two types of gene mutations: PKD1 and PKD2.The latter one is of a milder form presenting later in life. Imaging plays a crucial role in the diagnosis and assessment in order to provide adequate management of these patients however, there are no official standardized guidelines established for screening of these intracranial aneurysms. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - September 30, 2018 Category: Radiology Source Type: research

Isolated IgG4-related gastric disease presenting as diffuse gastric wall thickening with ulcer
An 81-year-old male presented with loss of appetite, early satiety and iron deficiency anaemia. A computed tomography (CT) scan of the abdomen and pelvis during initial work-up revealed diffuse gastric mural thickening associated with a large ulcer and adjacent gastro-hepatic lymphadenopathy. The CT appearances, together with the clinical features, were highly suspicious for an infiltrative type of gastric malignancy. Endoscopic biopsy however showed erosive inflammation, IgG4 plasmacytosis and fibrosis, raising the possibility of IgG4-related disease. A serologic assay for IgG showed normal IgG4 and elevated IgG2 serum le...
Source: Journal of Radiology Case Reports - September 25, 2018 Category: Radiology Source Type: research

Imaging features of uterine and ovarian fibromatosis in Nevoid Basal Cell Carcinoma Syndrome
This report describes a case of a 25 year-old patient with Gorlin-Goltz Syndrome and bilateral ovarian fibromas. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - September 25, 2018 Category: Radiology Source Type: research